Organization · Type 2 NPI
Southern Illinois Healthcare Foundation Inc
Federally Qualified Health Center (FQHC) · Dupo, IL
NPI number
1699521153
Active
Practice location
600 Louisa Ave
Dupo, IL 62239-1469
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
3 other providers at this address
About NPI 1699521153
Southern Illinois Healthcare Foundation Inc's National Provider Identifier is 1699521153, issued on Apr 25, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Dupo, IL. The record was last updated on Jun 25, 2026.